Deep learning-based transformation of H&E stained tissues into special stains

Nat Commun. 2021 Aug 12;12(1):4884. doi: 10.1038/s41467-021-25221-2.

Abstract

Pathology is practiced by visual inspection of histochemically stained tissue slides. While the hematoxylin and eosin (H&E) stain is most commonly used, special stains can provide additional contrast to different tissue components. Here, we demonstrate the utility of supervised learning-based computational stain transformation from H&E to special stains (Masson's Trichrome, periodic acid-Schiff and Jones silver stain) using kidney needle core biopsy tissue sections. Based on the evaluation by three renal pathologists, followed by adjudication by a fourth pathologist, we show that the generation of virtual special stains from existing H&E images improves the diagnosis of several non-neoplastic kidney diseases, sampled from 58 unique subjects (P = 0.0095). A second study found that the quality of the computationally generated special stains was statistically equivalent to those which were histochemically stained. This stain-to-stain transformation framework can improve preliminary diagnoses when additional special stains are needed, also providing significant savings in time and cost.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Algorithms
  • Biopsy, Large-Core Needle / methods*
  • Coloring Agents / chemistry
  • Coloring Agents / classification
  • Coloring Agents / standards
  • Deep Learning*
  • Diagnosis, Computer-Assisted / methods*
  • Diagnosis, Differential
  • Humans
  • Kidney / pathology*
  • Kidney Diseases / diagnosis
  • Kidney Diseases / pathology*
  • Pathology, Clinical / methods
  • Pathology, Clinical / standards
  • Reference Standards
  • Reproducibility of Results
  • Sensitivity and Specificity
  • Staining and Labeling / methods*
  • Staining and Labeling / standards

Substances

  • Coloring Agents